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r <br /> r <br /> CITY OF CRC.70 - BUILDI�TG FE��ST A-PPLICl?TION <br /> Date Aece�ved: <br />�tal Fee: $ ���� �C- �^ <br /> Da�� ��Drovec : <br />:�e'_�''c� RV:���i" PQr.t�`�. �L�l �� <br />,T� I�TFOR�'"I.ATION MIIST BE SIIBMITTED IN FULL BEF�RE PI�''j R�VI� �I'I' BE STARTED <br /> (See Check-oif List Enc�osed) <br /> ---------------- <br />� APPLIG�NT ISs (circle one ) OSv'�IER or CONTP.�?C'^OR <br />;B SITE ADDRSSS: �S� � � C,�.S CO Cr �"� '�( �� ZIP: �S � C� r <br /> (work) <br /> / PHorTE: (home) � `7/ -O6 / 6 <br />�� OF OWNER' �5 I � / — GV L/ h'��C7?l/v��2 <br />;ILING ADDR.ESS: <br /> 3 � � � Ch`« c;rccl-� cz�: 1Nf�';z� 7�� zzP: 5.�� ��i / <br /> i�z�c�cR: � 1� Sn� � -�-1-� CvrS� �^ <br /> P$ar�-E: �/ �7�- - 6 S��-i <br />�:I�IiIG P�DR.ESS� �G/ _7�/ ��i G'u�1,t�c�L7 /��LV,� CITY: � 6 ✓/"� ZIP: / �'' �� , <br /> 1Ty LIC_.�N5E: - OC�C� �.5 � I <br /> PHONE: <br />'.CHITECT/ENG�NEER: <br /> ;I,ING ADDRESS: <br /> CITY: ZIP: <br /> REGSSTRATSON '„ <br /> y41�.� <br /> '?E OP �iORR: New <br /> Additior_ Accessory Structure rlove � <br /> . D�,no Re.�nodel/Al.teration� Renovate Larid Alteraticn <br /> OPOSED WORR (describe in detaill = T�1�� <br /> �� �' i'�f9---1i c� S l/'� � � t � Z—�_ <br /> �.� �..0-6� ��-a.. �� ��—C S Y�� / L, 7'L/�--� /�c�Gl` — � t'r�G��l'�" —�, �/✓./�"�, <br /> �RIES_ SQ. FEET OF EACH 1�LOOR: <br /> _ pg $EDROOMS s G�RAGE STAI�LS: Aim• DE='• <br /> ��'=�SP,�ED CONS�tIICTION VALIIATZON (escluding Za�d) �S <br /> .z � �� � <br /> nereby apply for a buil.ding per:nit and I ac?:_^_c:a�edge that the in�o�h���e <br /> ove is complete and accurate; �Rat the work wi� = be in confor:nance wi �- <br /> 3inances and codes or the City and with tne Syate Building Cede=�i���and <br /> 3erstand t'tnis is not a permit and work is not �o -art without a p <br /> st the work will be in accordarice with the aporo��ec pl.an. <br /> 1 � \ DATE�� — ` � � 1 � <br /> �ICANT' S SIG�7ATIIRE s V V ' <br />